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ORIGINAL RESEARCH article

Front. Public Health
Sec. Aging and Public Health
Volume 12 - 2024 | doi: 10.3389/fpubh.2024.1455750
This article is part of the Research Topic Analyses on Health Status and Care Needs among Older Adults View all 25 articles

Adverse childhood experiences (ACEs) and 10-year depressivesymptoms trajectories among middle-aged and older adults in China: a population-based cohort study

Provisionally accepted
Xu Jin Xu Jin 1Guangxue Han Guangxue Han 2Xiulian Xu Xiulian Xu 3*
  • 1 School of Nursing and Rehabilitation, Shandong University, Jinan, Shandong Province, China
  • 2 Shandong University of Traditional Chinese Medicine, Jinan, Shandong Province, China
  • 3 Qilu Hospital, Shandong University, Jinan, China

The final, formatted version of the article will be published soon.

    Background: Adverse childhood experiences (ACEs) influence depressive symptoms. Depressive symptoms were heterogeneous from the perspective of life course.To explore the effects of ACEs on the trajectory of depressive symptoms in China.The data is from the five waves of the China Health and Retirement Longitudinal Study (CHARLS) and the 2014 Life Course Survey of it. A total of 17106 individuals were included, without the people younger than 45 years.We dealt with the missing values using multiple interpolation. The CESD-10 and a 12item questionnaire was used to assess the depressive symptom and ACEs, respectively. We used group-based trajectory modelling (GBTM) to identify the 10-year depressive-symptoms. Logistic regression models were used to explore associations between the trajectory and the ACEs.Results: Five depressive-symptom trajectories were identified based on the GBTM analysis (BIC=540533.61; AIC=540347.68; n=17106). Compared to the participants without depressive symptoms, the elderly who have more adverse childhood experiences have more odds of being in the other four groups, and the more ACEs the elderly experienced, the more likely it is.The 10-year depressive-symptoms trajectories among middle-aged and older adults in China were different from previous features. The significance of a life-course intervention plan to

    Keywords: ACES, CHARLS, Life course epidemiology, depressive symptoms, trajectory

    Received: 27 Jun 2024; Accepted: 21 Nov 2024.

    Copyright: © 2024 Jin, Han and Xu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Xiulian Xu, Qilu Hospital, Shandong University, Jinan, China

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